CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs
115 Airport Rd, Sulphur Springs, TX · Christushealth · · NPI 1033568621
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $8.75 – $35.00 | 21 |
| Clotting assay whole blood CPT 85396 | not published | not published | $82.14 – $82.14 | 1 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.30 – $1.30 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.94 – $1.94 | 1 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.61 – $1.61 | 1 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $593.04 – $3,296.86 | 21 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $593.04 – $3,296.86 | 21 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $593.04 – $3,296.86 | 21 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $79.18 – $494.16 | 21 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $250.84 – $1,049.06 | 21 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $886.62 – $6,680.74 | 21 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $593.04 – $3,296.86 | 21 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $593.04 – $3,296.86 | 21 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $85.32 – $494.16 | 21 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $85.32 – $494.16 | 21 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $3,006.85 – $3,006.85 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $3,001.91 – $3,001.91 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $85.32 – $494.16 | 21 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $593.04 – $3,296.86 | 21 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $1,128.46 – $1,128.46 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $593.04 – $3,296.86 | 21 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $85.32 – $494.16 | 21 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $593.04 – $3,296.86 | 21 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $85.32 – $494.16 | 21 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $593.04 – $3,296.86 | 21 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,954.22 – $12,186.28 | 21 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $420.64 – $3,051.44 | 21 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $468.98 – $6,680.74 | 21 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $886.62 – $6,680.74 | 21 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $593.04 – $3,296.86 | 21 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $85.32 – $494.16 | 21 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,088.27 – $6,683.92 | 21 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $420.64 – $3,051.44 | 21 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,526.99 – $10,169.10 | 21 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $171.62 – $1,093.04 | 18 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $165.71 – $2,095.82 | 18 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $469.31 – $2,095.82 | 18 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $3,106.55 – $3,106.55 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $61.18 – $122.36 | 18 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $7.54 – $30.14 | 21 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.71 – $18.84 | 21 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $10.48 – $41.90 | 21 |
| Cmv ig IV CPT 90291 | not published | not published | $3,203.51 – $3,203.51 | 1 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $73.37 – $293.46 | 18 |
| Co2 monitor per day CPT 94681 | not published | not published | $296.13 – $641.48 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.63 – $5.26 | 18 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.51 – $10.04 | 21 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.41 – $9.62 | 21 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $3.35 – $3.35 | 1 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $3.35 – $3.35 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $150.53 – $322.30 | 18 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $146.32 – $322.30 | 18 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $72.53 – $72.53 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $3.49 – $3.49 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $6.66 – $6.66 | 1 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,644.21 – $2,644.21 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,963.01 – $2,963.01 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $3,294.98 – $3,294.98 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,132.01 – $2,132.01 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $3,086.82 – $3,086.82 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,632.15 – $2,632.15 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $3,361.27 – $3,361.27 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,972.61 – $1,972.61 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,898.93 – $2,898.93 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,812.38 – $2,812.38 | 1 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $3,483.98 – $3,483.98 | 1 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $3,576.54 – $3,576.54 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $44.68 – $44.68 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $73.02 – $146.04 | 18 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $33.46 – $33.46 | 1 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $22.71 – $22.71 | 1 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $22.71 – $22.71 | 1 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $6.69 – $6.69 | 1 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.46 – $2.46 | 1 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $6.66 – $6.66 | 1 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $68.30 – $68.30 | 1 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $166.97 – $641.48 | 18 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $328.50 – $1,878.12 | 21 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $328.50 – $1,878.12 | 21 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $328.50 – $1,878.12 | 21 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,801.85 – $12,262.82 | 21 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $429.26 – $2,428.90 | 21 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,214.45 – $2,428.90 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.